4) Have a response plan. If an employee blows an internal whistle, take immediate steps to investigate and address the claim. Responding to allegations and prompt correction of errors is likely to help avoid more serious liability. If the investigation reveals a pattern of improper claims, billing for a ghost patient or procedure, or intentional upcoding, a more formal audit should be conducted.
Tommy Eden is a partner working out of the Constangy, Brooks & Smith, LLP offices in Opelika, AL and West Point, GA and a member of the ABA Section of Labor and Employment Law and serves on the Board of Directors for the East Alabama SHRM Chapter. He can be contacted at email@example.com or 334-246-2901. Blog at www.alabamaatwork.com